go back

Massachusetts rates for HCPCS 40761

Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.67 / $1,141.22 / $1,435.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $6,280.00 / $16,547.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.22 / $1,681.91 / $9,006.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.93 / $1,797.68 / $4,055.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.48 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.20 / $1,474.81 / $2,035.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.75 / $2,535.04 / $3,555.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $7,027.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.05 / $1,762.92 / $9,006.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.76 / $1,578.22 / $2,963.12